Trans-Arterial Chemo Embolisation (DC Bead) of a Hepatoma

Jakub Wiskirchen, MD, Gunnar Tepe, MD, and Philippe L. Pereira, MD
Department for Diagnostic and Interventional Radiology University Hospital Tübingen, Germany

Patient History

Male patient (53 y, HCV positive) with a well circumscribed, hypervascular HCC in the right lobe in liver MR (Fig 1). • Angiography with a 4Fr C2 Cobra™ (Cook®) catheter (Fig 2) confirmed the presence of a hypervascular lesion.

Fig 1 Fig 2

Procedure

After applying 2ml DC Bead™ (Biocompatibles) and 50mg epirubicin (Pfizer) to the tumour and the surrounding tissue via a 2.7Fr microcatheter system (Progreat™, Terumo®) the tumour did not opacify (Figs 3 and 4).

Fig 3 Fig 4

Outcome

A control CT scan, obtained one day after PRECISION TACE confirmed the embolisation of the tumour. The air bubbles within the tumour are regular findings following embolisation with DC Bead™ and do not represent a complication (Figs 5 and 6).

Fig 5 Fig 6

DC Bead Sizes and Label Colours

Bead size & label colour Volume
of
beads		 Product code Time to >90% loading Time to 98% loading
100-300µm 2ml DC2V103 5 mins 20 mins
300-500µm 2ml DC2V305 10 mins 40 mins
500-700µm 2ml DC2V507 20 mins 75 mins
700-900µm 2ml DC2V709 30 mins 100 mins
 

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